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GENERAL INSTRUCTIONS <br /> Put all of your answers on the special answer sheet. MAKE NO MARKS ON THIS BOOKLET. <br /> You will make most of your answers by filling in bubbles on the answer sheet.When you do this, <br /> fill in the bubbles completely. <br /> Example: Correct - <br /> Incorrect <br /> Use only a No. 2 (soft)lead pencil. Do not use a ball point pen or hard pencil. <br /> If you make a mistake, be sure to erase it completely,then fill in the correct answer. <br /> INSTRUCTIONS -STEP 1 <br /> On the top line of the answer sheet;print the name of the agency or organization for which you <br /> are completing the questionnaire. <br /> Complete answer blocks 1 through 8, by entering your last name, first name, middle initial, social <br /> security number, today's date, agency ID,age, weight, and height. (If you have not been told the <br /> agency ID, leave answer block 4 blank.) <br /> In each of these answer blocks,first print your answer across the top of the block, then fill in the <br /> corresponding bubble beneath each character you have printed. <br /> Example: Social Security Number <br /> Or Identification Number <br /> '(:D1! cO) 603( )'t : <br /> • 2 :(2)'� !_21',: <br /> E l)6) ) c3'(3] <br /> CC(.4::C4)'4:.:#C4?Caja(4:A <br /> CS) :5.,•(5;'.55))C5) ,�.)(5) <br /> (6)(6)rte?ac,t: <br /> (7)CD a CTS rS 3 <br /> 1C8)(8)t8}C$)t�(Lo ,C1 ^p <br /> 'i..9}:(9)r (9)4 MP /i9) <br /> Johnson, Roberts, &Associates, Inc. <br /> 11881 Skyline Blvd.Suite A <br /> Oakland, CA 94619 <br /> (510)530-1963 <br /> Copyright©2016 <br /> All Rights Reserved <br /> PSS/LEPS PLLC 57 <br />